Technical Note:Due to changes in data collection methods, rates of early prenatal care from the year 2014 and forward cannot be compared with data from prior years. Starting in 2014, the state of Hawaii revised birth records according to U.S. Standard Certificates of Live Births (more information can be found here: https://www.cdc.gov/nchs/nvss/vital_certificate_revisions.htm). Birth records previously reported the month that a mother began prenatal care whereas revised birth certificates starting in 2014 report the complete date of the first prenatal care visit including moth, day, and year.
In an effort to protect confidentiality, the Department of Health suppresses cases between 1 and 5. Due to data suppression, data are not reported in the following counties in 2015: Hawaii County, Kauai County, and Maui County.

Technical Note:Due to changes in data collection methods, rates of early prenatal care from the year 2014 and forward cannot be compared with data from prior years. Starting in 2014, the state of Hawaii revised birth records according to U.S. Standard Certificates of Live Births (more information can be found here: https://www.cdc.gov/nchs/nvss/vital_certificate_revisions.htm). Birth records previously reported the month that a mother began prenatal care whereas revised birth certificates starting in 2014 report the complete date of the first prenatal care visit including moth, day, and year.
In an effort to protect confidentiality, the Department of Health suppresses cases between 1 and 5. Due to data suppression, data are not reported in the following counties in 2015: Hawaii County, Kauai County, and Maui County.